The board
- Hours
- Full time
- Where
- DDMI - Nashville
- Posted
- Sep 2
Job Title:
Provider Representative
Number of Positions:
1
Location:
DDMI - Nashville
Location Specifics:
Hybrid Position
Job Summary:
Must reside in Metropolitan Davidson County, Tennessee or a county contiguous to Metropolitan Davidson County, Tennessee.
At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
At Delta Dental, we celebrate our All In culture.
What you'd do
- Supports providers with non-billing related issues, including education and outreach to those who do not routinely provide preventive services, at the direction of the PCDH Coordinator.
- Conducts annual office visits to all participating dental offices within assigned region.
- Responsible for being completely familiar with the operation of all State DBM Programs in respected region.
- Educates and assists TennCare ECF CHOICES DBM Program and TennCare 1915© DBM Program including, but not limited to, management of adult dental benefits and benefit limits, Prior Authorization requests (including initial evaluation and treatment plan approval), electronic billing, compliance initiatives, and other program requirements as specified by TennCare.
- Monitors and analyzes providers’ performance and compliance with organizational policies and standards.
- Develops and maintains relationships with healthcare providers.
- Collaborates with providers to address and resolve issues, as well as obtain documentation to support the claim process.
- Starts
- 2026-08-26